Cemented hemi arthroplasty (hemiarthroplasty)

Cemented hemi arthroplasty (hemiarthroplasty) of the hip is a surgical procedure where the femoral head is replaced with a prosthetic implant, while the natural acetabulum is left intact. This is commonly performed for hip fractures in elderly patients. Below is a note on cemented hemi arthroplasty of the hip under your requested headings.

Results of the Surgery

Cemented hemi arthroplasty provides good pain relief, improved mobility, and early rehabilitation for patients with hip fractures. Most patients are able to walk with support within a few days after surgery, and long-term outcomes are generally satisfactory, with low rates of dislocation and improved functional outcomes compared to non-surgical treatment.

What Happens During the Procedure

During cemented hemi arthroplasty, the fractured femoral head is removed, and a prosthesis is inserted into the prepared femoral canal with bone cement for stability. The surgery can be performed via anterior or posterior approaches, with the posterior approach being more common. The prosthesis is carefully aligned and cemented into place, and the wound is closed after ensuring proper positioning.

How to Prepare for the Surgery as a Patient

Patients should undergo a pre-surgical consultation, clinical examination, and necessary imaging and blood tests. Medical clearance is required, and certain medications may need to be stopped before surgery. Fasting guidelines and pre-surgery instructions are provided, and physiotherapy advice is often recommended for post-operative recovery.

What All Tests Are Required for the Same

The required tests for cemented hemi arthroplasty include:

• Routine blood tests (CBC, BMP, albumin, ESR, PT).
• Electrocardiogram (ECG/EKG) to check heart health.
• Chest X-ray to screen for lung issues.
• Advanced imaging such as X-rays or CT scans for surgical planning.
• Urinalysis to check for infections.
• Basic fitness check for anesthesia.

These tests ensure the patient is healthy enough for surgery and enable precise planning.

What Is the Usual Recovery Time ?

The typical recovery time for cemented hemi arthroplasty is about 4 to 6 weeks for most patients to resume light activities, with full recovery and return to normal activities taking 3 to 6 months. Physical therapy is started soon after surgery to help regain strength and mobility.